185401 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00352990 Page 1 of 1
ONE CIVIC SQUARE PRIORITY DISPATCH CHECK AMOUNT: $3,165.00
CARMEL, INDIANA 46032 139 E SOUTH TEMPLE STE 500
SALT LAKE CITY UT 84111
CHECK NUMBER: 185401
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351502 26864 56213 3,165.00 ANNUAL MAINT
Date: 4/14/2010
Dispefc
1NV%j1 Attn: Accounting Department
139 East South Temple, Suite 500
Salt Lake City, UT 84111
No. 56213 (801) 363 -9127 (801) 363 -9144 fax
(800) 363 -9127 toll -free
Customer Id: 740
Bill To: Carmel Clay Comm Ctr For: Carmel Clay Comm Ctr
31 1 st Ave NW 31 1st Ave NW
Carmel, IN 46032 -1715 Carmel, IN 46032 -1715
Phone: Fax: 317- 571 -25851
Sales Contact: Base license: 00000A0IAE
Payment Method: Purchase Order Payment Terms: Net 30 Days
Qty Description Unit Price Extended Price
1 Maintenance Agreement For Annual ProQA ESP (MedicalNorth American English) $3,165.00 $3,165.00
Date of ESP Renewal Expiration:
May 11 2011 12:00AM
Sub Total: $3,165.00
Tax: $0.00
Shipping Handling: $0.00
Total: $3,165.00
Amount due this Invoice: $3,165.00
Please pay this invoice in US Dollars. Make checks payable to Priority Dispatch Corporation.
"To lead the creation of meaningful change in public safety and health.
Page 1 of 1 Generated. 4114/2010 3:32 PM
C o Carmel INDIANA RETAIL TAX EXEMPT PAGE
ty 1 fl r CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 269&4
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4126f2010
Priority Dispatch Carmel Clay Communications
VENDOR Attn: Accounting Dept SHIP 31 F irst Avenue NW
139 E. South Temple, Ste. 5 T Carmel, IN 46032
Salt Lake City, UT 84111 (317) 571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 515
1 Each Annual Maint for ProQA ESP $3,165.00 $3,165.00
Sub Total: $3,165.00
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Send Invoice To:
Carmel Clay Communications
31 (First Avenue RAW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $3,165.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE R.Q.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACKED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNQBLIGATED BALANCE IN
SHIP REPAID. THIS APP SUFFICIENT TO PAY FOA TAE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED $Y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE -Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 8 6 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
r
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
cr
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except_
20
Signature
Title
Cast distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WAPRANT NO.
ALLOWED 20
priority Dispatch
Attn: Accounting Dept
IN SUM OF
139 E. South Temple, Ste. 5
Salt Lake City, UT 84111
$3,165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26864 56213 43- 515.02 $3,165.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 05, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/14/10 I 56213 I $3,165.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer